FOUR SEASONS PEDIATRICS LLC NPI 1306353479

NPI Information

  • NPI: 1306353479
  • Provider Name: FOUR SEASONS PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 33D0984698
  • Address: 532 MOE RD
    CLIFTON PARK, NY
    ZIP 12065
  • Phone: (518) 383-2425

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NPI Details

FOUR SEASONS PEDIATRICS, LLC is a pediatrics in Clifton Park, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FOUR SEASONS PEDIATRICS, LLC NPI is 1306353479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

532 MOE RD
CLIFTON PARK, NY
ZIP 12065-822
Phone: (518) 383-2425
Fax: (518) 383-3255

The provider's authorized official is Harry Miller .
The authorized official title is Owner and has the following contact phone number (518) 383-2425.

The CLIA number assigned to this NPI record is 33D0984698 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/10/2018 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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